Individual
BRIAN BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
46314 TIMINE WAY, PENDLETON, OR 97801-9417
(541) 966-9830
Mailing address
PO BOX 160, PENDLETON, OR 97801-0160
(541) 966-9830
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
22-CRM-1500
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-CRM-1500
MHACBO
OR
Enumeration date
02/29/2024
Last updated
02/29/2024
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